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WATER SEWER UTILITY Permit Number: U2504-019 <br /> LmPERMIT Permit Type: WATER SEWER UTILITY <br /> Permit Subtype: SIDE SEWER- CONNECTION <br /> FVERIETT City of Everett Permit Services Date Issued: 5/20/2025 <br /> WASHINGTON PermitServices@everettwa.gov 1425.257.8810 Request Inspections:OnIine Perm its.everettwa.gov <br /> PERMIT INFORMATION: <br /> SITE ADDRESS: 4327 FOREST DR PARCEL#: 00449400100200 <br /> DESCRIPTION: Connect to sewer stub on property TENANT: win Lessley <br /> this is a connection to an existing newly installed stub of a force main for the Forest Drive Short Plat. Permit number PW2302- <br /> 009 <br /> CONTACT INFORMATION: <br /> OWNER: ELLIS KENNETH J&SHERYL A PHONE:(425)359-3309 <br /> MAILING ADDRESS:4327 FOREST DR EVERETT,WA 98203-2042 EMAIL: <br /> APPLICANT:ADAIR ENTERPRISES LLC PHONE:(206)799-6229 <br /> MAILING ADDRESS: 15922 EAST SHORE DRIVE LYNNWOOD,WA 98087 EMAIL:WINLESSLEY@gmail.com <br /> CONTRACTOR:ADAIR ENTERPRISES LLC PHONE:(206)799-6229 <br /> MAILING ADDRESS: 15922 EAST SHORE DRIVE LYNNWOOD,WA 98087 EMAIL:WINLESSLEY@GMAIL.COM <br /> STATE CONTRACTOR'S LIC#:ADAIREL032C1 EVERETT BUSINESS LIC#: 36218 <br /> PERMIT FEES: <br /> DESCRIPTION PAID AMOUNT DATE PAID <br /> NEW CONNECTION TO MAIN $70.00 5/20/2025 <br /> Percent Credit Card Fee $97.04 5/20/2025 <br /> SYSTEM DEVELOPMENT FEE SEWER $4149.00 5/20/2025 <br /> $4,316.04 <br /> PERMIT DETAILS: <br /> Outside City Limits?: NO Water Service Type: Not Applicable to this Permit <br /> Side Sewer Type:Side Sewer Force Main(Private) Water Meter Size: 3/4" <br /> Side Sewer Size: 2" Water Service Size: Not Applicable to this Permit <br /> Side Sewer Material: Polyethylene Backf low Prevention Type: Not Applicable to this Permit <br /> Sewer Sys Dev Credit?: Not Applicable to this Permit Water Sys Dev Credit?: Not Applicable to this Permit <br /> Additional Sewer Info: existing stub form work associated with permit Additional Water Info: <br /> number PW2302-009 <br /> PERMIT CONDITIONS: <br /> CONDITION TYPE CONDITION DETAILS <br /> SUBJECT TO FIELD INSPECTION All work shall be subject to field inspection. <br /> INSPECTION SCHEDULING Inspections are required for all stages of construction and shall be scheduled online.Visit the City's online <br /> Permitting Portal at https://onlinepermits.everettwa.gov to formally request all required inspections. <br /> Available inspection dates are shown in the dropdown menu. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and <br /> all claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other <br /> right-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged <br /> thereby. <br /> EVERETT Permit Number: U2504-019 <br /> Page1of2 <br />